Just point to where it hurts!
They speak English @ Cabarete Medical Center, which is basically in Sosua, make a left on the highway towards Cab., and it is right there before Sea Horse Ranch on the left.
Cabarete Medical Center Carretera Sosua-Cabarete Km 1, Sosua, Dominican Republic
We use Servi-Med in Cabarete for routine stuff, they also have a Dentist and a Chiropracter who all speak English. Have been using their services for over 5 years. They can also do routine blood work etc. and now accept most insurance. Just another option to consider. Sorry if I spelled things wrong!!